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Postoperative CT in pancreas transplantation
F E Powell1, S J F Harper1, C J Callaghan1
1University Department of Surgery, and NIHR Comprehensive Biomedical Research Centre, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 0QQ, UK.
Clinical Radiology
|July 22, 2015
Summary
Computed tomography (CT) is valuable after simultaneous pancreas and kidney (SPK) transplantation. It accurately detects vascular issues and fluid collections, guiding treatment and reducing surgeries.
Area of Science:
- Transplantation medicine
- Radiology
- Surgical outcomes
Background:
- Simultaneous pancreas and kidney (SPK) transplantation is a complex procedure.
- Postoperative monitoring is crucial for patient outcomes.
- Computed tomography (CT) is a key imaging modality in transplantation.
Purpose of the Study:
- To evaluate the utility and impact of CT scans in patients undergoing SPK transplantation.
- To correlate CT findings with clinical indications and patient management.
- To establish the role of CT in identifying specific complications post-SPK transplant.
Main Methods:
- Retrospective analysis of 98 patients who underwent SPK transplantation.
- Review of 313 postoperative CT examinations.
- Analysis of indications for CT, key findings, and subsequent management decisions.
Main Results:
- Common CT indications included suspected intra-abdominal collections and elevated amylase/lipase.
- Frequent CT findings were mild inflammation, normal scans, and fluid collections.
- High capillary blood glucose (CBG) correlated with graft vascular abnormalities on CT.
Conclusions:
- Clinical signs post-SPK transplant are often non-specific.
- CT effectively visualizes vascular abnormalities and fluid collections, potentially avoiding surgery.
- Elevated CBG warrants urgent CT to rule out reversible vascular complications.
